Individual
PAMELA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
BUILDING 19, PERRY POINT VA MEDICAL CENTER, PERRY POINT, MD 21902
(410) 642-1070
Mailing address
PERRY POINT VA HOSPITAL, BUILDING 19- GENERAL MEDICINE, PERRY POINT, MD 21902
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C04042
MD
Other
Enumeration date
10/01/2009
Last updated
09/24/2010
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